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SERGIO J. PEREZ M.D.
NPI 1780681585
Internal Medicine in Bradenton, FL

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
3501 CORTEZ RD W, BRADENTON, FL 34210(941) 752-2700(941) 752-2730 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2022, Aug 25, 2016 (2 updates tracked since 2016).

About Sergio J. Perez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGIO J. PEREZ M.D. (NPI 1780681585) is an individual internal medicine provider in Bradenton, Florida, licensed in Florida (ME79712) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1780681585
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSERGIO J. PEREZCredential: M.D.
Location Address3501 CORTEZ RD WBradenton, FL 34210-3196
Mailing Address7005 Cortez Rd WBradenton, FL 34210-2509 · (941) 752-2700 · Fax (941) 752-2730
Phone(941) 752-2700
Fax(941) 752-2730
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 7, 2005
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
✔ NPI 1780681585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME79712
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3501 CORTEZ RD W, Bradenton, FL 34210
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Other Identifiers 1

Medicaid280624000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sergio J. Perez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335101039
PECOS Enrollment IDI20041103000775
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
44%425 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
35%922 patients2/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 8% · 89 patients
Patients 4MonthsOfStart: 2% · 100 patients
6%100 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
84%9,118 patients2/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
66%609 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
27%627 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%4,097 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
67%1,826 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
68%611 patients4/55-star benchmark: 90%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
39%1,521 patients2/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,826 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
12%1,826 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%1,826 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
100%32 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers20 claims60 services$6.91 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers15 claims15 services$45.05 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers11 claims11 services$14.86 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers14 claims14 services$10.35 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims72 services$1.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DVA HEALTHCARE RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3501 CORTEZ RD W, STE 3
BRADENTON, FL 34210
Manatee County (941) 727-4209
HEALTHCARE AMERICA MEDICAL GROUP, INC.
Family Medicine
3501 CORTEZ RD W
BRADENTON, FL 34210
Manatee County (941) 752-2700
KAREN LEE LAUBACH
Nurse Practitioner (Family)
3501 CORTEZ RD W
BRADENTON, FL 34210
Manatee County (941) 752-2700
RICKY BERNARDO PT
Specialist
3501 CORTEZ RD W, POD #2
BRADENTON, FL 34210
Manatee County (941) 757-6300
ONE SOURCE PHARMACY OF BRADENTON
Pharmacy (Community/Retail Pharmacy)
3501 CORTEZ RD W, UNIT 901B
BRADENTON, FL 34210
Manatee County (877) 490-8987
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
3501 CORTEZ RD W
BRADENTON, FL 34210
Manatee County (941) 727-1550
CRAIG B. HOFFMAN M.D.
Family Medicine
3501 CORTEZ RD W
BRADENTON, FL 34210
Manatee County (941) 752-2700
NELSIE WALKER, PA
Counselor (Mental Health)
3501 CORTEZ RD W, MAIN LOBBY
BRADENTON, FL 34210
Manatee County (941) 795-7330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergio Perez's NPI number?

The NPI number for Sergio Perez is 1780681585. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Sergio Perez located?

Sergio Perez practices at 3501 Cortez Rd W, Bradenton, FL 34210. The listed phone number is (941) 752-2700.

What is Sergio Perez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sergio Perez enrolled in Medicare?

Yes. Sergio Perez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sergio Perez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 4 other insurers list Sergio Perez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sergio Perez affiliated with any hospitals?

According to CMS data, Sergio Perez is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Sergio Perez was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.